A nurse is discussing factors that influence communication with a group of newly licensed nurses. Which of the following information should the nurse include?
Hearing loss is considered a development factor that has minimal effect on nurse-client communication.
Clients who have developmental deficits are less distracted by environmental noises than client who do not have these deficits.
Nurses might focus on a client's physiological needs over psychosocial needs when communicating during care.
Nurses caring for clients experiencing a highly emotional situation report that communication is rarely affected.
The Correct Answer is D
A. Hearing loss is a significant factor that can significantly impact nurse-client communication. Clients with hearing loss may have difficulty understanding what is being said, leading to misunderstandings and frustration.
B. Clients with developmental deficits may be more sensitive to environmental noises and distractions, which can make it difficult to focus on communication.
C. This can be a significant barrier to effective communication, as it can lead to neglecting the client's emotional and psychological needs. It's important for nurses to be aware of this tendency and to make a conscious effort to address both the physical and emotional needs of their clients.
D. Emotional factors can significantly affect communication. When clients are experiencing a highly emotional situation, they may be more likely to become overwhelmed, anxious, or defensive, which can make it difficult to communicate effectively.
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Related Questions
Correct Answer is C
Explanation
A. While protocols for care may be developed by healthcare facilities or professional organizations, the BON does not create specific care protocols for health problems. The BON primarily focuses on regulation and oversight of nursing practice rather than clinical protocols.
B. While the BON does play a role in ensuring the quality of nursing education programs through accreditation and approval processes, the statement is somewhat broad. The BON's primary responsibility is to regulate nursing practice and ensure public safety, rather than actively promoting educational excellence in a proactive manner.
C. The BON is responsible for enforcing the Nurse Practice Act, which defines the scope of nursing practice and sets the legal standards for nursing in the state. The BON regulates nursing practice by monitoring compliance with these laws, investigating complaints, and taking disciplinary action as necessary.
D. The BON does establish the competencies required for licensure, often in collaboration with educational institutions, but it does not directly determine individual competencies for nurses.
Correct Answer is A
Explanation
A. The planning step involves setting goals and determining appropriate interventions to achieve desired outcomes for the client. During this phase, the nurse collaborates with the healthcare team, including
the RN, to establish measurable and realistic goals tailored to the client’s needs.
B. This step refers to the execution of the planned interventions. It involves carrying out the nursing actions and strategies that were developed during the planning phase. While important, implementation is not the stage where goals are formulated.
C. Evaluation is the step where the nurse assesses the effectiveness of the interventions and whether the goals have been met. This phase involves reviewing the client’s progress and determining if adjustments are needed for the care plan. Formulating goals occurs prior to this step.
D. This step is part of the assessment phase, where the nurse gathers information about the client’s health status, history, and needs. While data collection is essential for informing the planning process, it does not involve the formulation of goals.
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